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Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin
Brain abscesses can cause significant morbidity in patients with cyanogen heart disease. In countries with limited resources treatment, it is difficult and prognosis is guarded. Here we report a case of brain abscesses revealing a rare form of cyanogen heart disease, the trilogy of Fallot, in Parako...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The African Field Epidemiology Network
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060948/ https://www.ncbi.nlm.nih.gov/pubmed/32180863 http://dx.doi.org/10.11604/pamj.2019.34.189.20282 |
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author | Mohamed, Falilatou Agbeille Kpanidja, Gérard Médétinmè Noudamadjo, Alphonse Dohou, Serges Hugues Mahougnon Savi de Tove, Kofi Mensa Agossou, Joseph Adedemy, Julien Didier |
author_facet | Mohamed, Falilatou Agbeille Kpanidja, Gérard Médétinmè Noudamadjo, Alphonse Dohou, Serges Hugues Mahougnon Savi de Tove, Kofi Mensa Agossou, Joseph Adedemy, Julien Didier |
author_sort | Mohamed, Falilatou Agbeille |
collection | PubMed |
description | Brain abscesses can cause significant morbidity in patients with cyanogen heart disease. In countries with limited resources treatment, it is difficult and prognosis is guarded. Here we report a case of brain abscesses revealing a rare form of cyanogen heart disease, the trilogy of Fallot, in Parakou in the north of Benin. The study involved a 9-year old boy, referred to a primary hospital for left hemiparesis. Interview and physical examination revealed symptoms evolving for two months including intense headaches, fever, vomiting and functional impairment of the left hemi-corps, altered general state, generalized cyanosis, left hemiparesis, pulmonary systolic murmur. Brain CT scan showed abscesses in the right parietal region and in the left temporal region as well as hydrocephalus. Doppler echocardiography showed stiff pulmonary stenosis, atrial septal defects and right ventricular hypertrophy. Antibiotic therapy including ceftriaxone, gentamicin and metronidazole was started in emergency. Indication for surgical intervention included trepano-puncture but this could not be performed due to rapid unfavorable outcome. Brain abscesses are a common complication of cyanogen heart disease. Outcome is fatal in the absence of adequate management, hence the role of diagnosis and early treatment of these heart diseases. |
format | Online Article Text |
id | pubmed-7060948 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-70609482020-03-16 Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin Mohamed, Falilatou Agbeille Kpanidja, Gérard Médétinmè Noudamadjo, Alphonse Dohou, Serges Hugues Mahougnon Savi de Tove, Kofi Mensa Agossou, Joseph Adedemy, Julien Didier Pan Afr Med J Case Report Brain abscesses can cause significant morbidity in patients with cyanogen heart disease. In countries with limited resources treatment, it is difficult and prognosis is guarded. Here we report a case of brain abscesses revealing a rare form of cyanogen heart disease, the trilogy of Fallot, in Parakou in the north of Benin. The study involved a 9-year old boy, referred to a primary hospital for left hemiparesis. Interview and physical examination revealed symptoms evolving for two months including intense headaches, fever, vomiting and functional impairment of the left hemi-corps, altered general state, generalized cyanosis, left hemiparesis, pulmonary systolic murmur. Brain CT scan showed abscesses in the right parietal region and in the left temporal region as well as hydrocephalus. Doppler echocardiography showed stiff pulmonary stenosis, atrial septal defects and right ventricular hypertrophy. Antibiotic therapy including ceftriaxone, gentamicin and metronidazole was started in emergency. Indication for surgical intervention included trepano-puncture but this could not be performed due to rapid unfavorable outcome. Brain abscesses are a common complication of cyanogen heart disease. Outcome is fatal in the absence of adequate management, hence the role of diagnosis and early treatment of these heart diseases. The African Field Epidemiology Network 2019-12-10 /pmc/articles/PMC7060948/ /pubmed/32180863 http://dx.doi.org/10.11604/pamj.2019.34.189.20282 Text en © Falilatou Agbeille Mohamed et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mohamed, Falilatou Agbeille Kpanidja, Gérard Médétinmè Noudamadjo, Alphonse Dohou, Serges Hugues Mahougnon Savi de Tove, Kofi Mensa Agossou, Joseph Adedemy, Julien Didier Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin |
title | Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin |
title_full | Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin |
title_fullStr | Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin |
title_full_unstemmed | Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin |
title_short | Abcès cérébraux révélant une trilogie de Fallot chez un enfant: à propos d’un cas au CHU de Parakou, Bénin |
title_sort | abcès cérébraux révélant une trilogie de fallot chez un enfant: à propos d’un cas au chu de parakou, bénin |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060948/ https://www.ncbi.nlm.nih.gov/pubmed/32180863 http://dx.doi.org/10.11604/pamj.2019.34.189.20282 |
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